| Lailani Bailon Mcclellan, FNP-C | |
|
202 W Gordon St Ste A, Valdosta, GA 31601-4565 | |
| (229) 474-4101 | |
| Not Available |
| Full Name | Lailani Bailon Mcclellan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 202 W Gordon St Ste A, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386450443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 138801 (Georgia) | Primary |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Lailani Bailon Mcclellan, FNP-C 4285 Conway Cir, Valdosta, GA 31605-4410 Ph: (229) 588-9268 | Lailani Bailon Mcclellan, FNP-C 202 W Gordon St Ste A, Valdosta, GA 31601-4565 Ph: (229) 474-4101 |
Robert Daniel Bennett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 | |
Dr. Jeri Lynn Sheffield, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3548b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-249-9299 Fax: 229-249-9799 | |
Mrs. Haley Nix, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3322 Greystone Way, Valdosta, GA 31605 Phone: 229-242-0331 | |
Anthony Wayne Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3207 Country Club Rd, Valdosta, GA 31605 Phone: 229-242-8480 Fax: 229-242-0070 | |
Vera C Garcia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4370 Kings Way Ste E, Valdosta, GA 31602 Phone: 229-247-7767 Fax: 229-247-7626 | |
Bennett P Hogan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 | |
Mr. Frederick H Fritzsche, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4280 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-671-2019 Fax: 229-671-2010 |